Search › Wisconsin › 103T00000X
Jesse Peterson, PSYD
NPI 1457996910 · on the registry since 2019
Practice
- Address
- 301 E Saint Joseph St
Green Bay, WI 54301 - Phone
- (920) 433-6073
- Fax
- (920) 431-0333
- Organisation at this address
- Bellin Psychiatric Center
Children'S Medical Group, Inc
Bellin Psychiatric Center Inc
Bellin Psychiatric Center Inc.
Emplify Health Behavioral HealthInferred from a shared address, not stated in the registry. - Clinicians at this address
- 59
Additional practice sites
- 725 S Webster Ave, Green Bay, WI
Registry record
- Primary taxonomy
- 103T00000X
103T00000X
- Licence states on file
- WI
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2019-11-11
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Wisconsin